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What Therapists Fight About (chapter 2)

Dr Kirk Honda explores the 20 topics that therapists fight about.

00:00 Self-disclosure

05:25 Harm reduction

18:30 What's your opinion?

20:13 Reasonable group placements

31:49 Irvin Yalom

33:52 Astrology

40:58 "I'm so proud of you"

43:17 Ozempic

44:51 No secrets policy

54:21 Use of AI

1:08:33 How long people should be in therapy 

1:10:35 Psychoanalysis

1:24:30 Psychiatrists 

1:24:54 Faith based counseling

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May 16, 2025

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

What Therapists Fight About (chapter 2)

Comments

Does the harm reduction therapists argue about include safe consumption sites, clean supplies, Narcan, PREP, condoms etc. Or just in terms of abstinence or not abstinence? Obviously some therapists will disagree with all harm reduction practices, but is harm reduction as a whole as big of a topic like what you touched on in this episode? Also, and this is directed at the proverbial you, harm reduction like you talked about, so no abstinence and trying to control using, can be a step towards abstinence. It can get people in the door of recovery. Would these bone heads rather have someone walk away and never try recovery because they cannot commit to abstinence today, or have someone try their best to control their use and then possibly realize that they do need abstinence and now because they have already been in a recovery mind set, it feels more attainable! Furthermore, thousands of fully sober addicts tried harm reduction before “harm reduction” was a common term. It’s one of the main signs of a problem in abstinence only groups “have you tried and failed to control your drinking?” “If you feel that you can control your drinking go out and experiment, but we will be here if you need to come back,” That’s literally harm reduction from a 12 step POV, those who decide they can’t control their drinking may come back, those who can control it don’t, and either way some never come back. Edit- This topic is obviously meaningful to me 😂. I am a fully abstinent addict who is passionate about harm reduction. It makes no sense to me that people wouldn’t encourage all types of recovery, the more accepting we are of all types of recovery, the more likely people will get on a path that works for them. Which beats people dying of addiction.

MK Average

Not sure if you mentioned Ozempic in part 1 or 2 but I think the issue with it is that it stops the “food noise” people with BED or other eating disorders have. Therefore, the disorder isn’t actually being cured it’s just symptom relief. You stop the Ozempic, the “food noise” comes back and you repeat the weight gain process.

Christine Ullrich


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